Shibchar Upazila Health Complex | Health Bulletin 2014 |
Preface
I welcome everybody to this health bulletin.This bulletin contains Health Service information of 2013.This bulletin is published to diserminate the information of Health Service of Shibchar Upzilla I hope all the information of this bulletin will help for local planning & bridging the gaps in health service of this Upzilla..This health bulletin will help us to find constrains of the status of MDG4 and MDG 5 which will help to localize the MDG target. All vacant posts are published in this bulletin of 2013.I like to take attention of the higher authority to look into to this issue.Finaly I would like to pay my heart felt gratitude to the Honble. Prime Minister & to the leadership of MIS section of our Health Directorate for whom this effort has eventyally come to a reality .
Shibchar Upazila Health Complex | Health Bulletin 2014 | Page# 1
Organization at a glance
Name of the Upazila Shibchar
Name of UHFPO Dr.Abdul Motaleb Miah
Telephone No. 0662456118
FAX No. 0
Mobile No. 01715399038
Email shibchar@uhfpo.dghs.gov.bd
GPS location of UHFPO office Lati: 0.0000 And Long: 0.0000
No. of Unions in the Upazila 19
No. of Households in the Upazila 60,474
No. of Population in the Upazila 360,149
Area of Upazila in sq km 338.50
Shibchar Upazila Health Complex | Health Bulletin 2014 | Page# 2
Existing health facilities in the Upazila
Facility Type
Total (No.)
No. of Beds
No. of Upazila Health Complex
1
50
No. of Union Sub-Centres
3
0
No. of Union Health and Family Welfare Centres
15
0
No. of Rural/Urban/Thana Dispensaries
0
0
No. of Community Clinics
38
0
No of Trauma Centres
0
0
No. of MCWCs
0
0
No. of Chest Disease Clinics (TB clinics)
0
0
No. of Private Clinics/Facilities
6
56
No. of NGO Clinics/Facilities
1
0
Shibchar Upazila Health Complex | Health Bulletin 2014 | Page# 3
Child health and MDG-4 (No.) (January-December, 2013)
No. of Live Birth: 4,923
Total No. of children treated under IMCI Program 9,613
Fully Vaccinated Children: 100.00
Neonatal Mortality Rate (January-December, 2013)
Shibchar Upazila Health Complex | Health Bulletin 2014 | Page# 4
Legends
R.P.W-
Registered Pregnanat Woman
1st ANC-
No. of 1st ANC recipients
R.P.W-
No. of 4th ANC recipients
C. Preg-
No. of complicated pregnancies
N. deli-
No. of normal deliveries
V. deli-
No. of vaginal deliveries
C. deli-
No. of cesarean deliveries
PNC-
No. of PNC services provided to mother in the Upazila
Maternal health and MDG-5 (No.) (January-December, 2013)
All ANC Receiptients: 604
Total Number of Deliveries: 4923
No. of Maternal Death: 11
Valid TT Coverage: 42.00 %
Maternal Mortality Ratio (MMR)(January-December, 2013)
Shibchar Upazila Health Complex | Health Bulletin 2014 | Page# 5
No. of OPD & Emergency visits & Deaths at UHC
Health Facility
OPD
Emergency
T (M+F)
M
F
Child (U-5)
T (M+F)
M
F
Child (U-5)
Upazila Health Complex
22,648
8,906
13,742
4,070
3,710
1,967
1,743
346
Union Sub-Centres
14,874
6,643
8,231
4,632
0
0
0
0
Union Health and Family Welfare Centre (under DGHS)
11,807
5,329
6,478
3,427
0
0
0
0
Rural/Urban/Thana Dispensaries
0
0
0
0
0
0
0
0
Community Clinics
187,319
86,743
100,576
69,973
0
0
0
0
Trauma Centres
0
0
0
0
0
0
0
0
MCWCs
0
0
0
0
0
0
0
0
Chest Disease Clinics (TB clinics)
0
0
0
0
0
0
0
0
Private Clinics/Facilities
24,081
10,532
13,549
2,754
0
0
0
0
NGO Clinics/Facilities
15,702
6,749
8,953
2,387
0
0
0
0
Total
300,512
124,902
151,529
87,243
3,710
1,967
1,743
346
No. of Admissions & Deaths at UHC
Health Facility
Admission
Death
T (M+F)
M
F
Child (U-5)
T (M+F)
M
F
Child (U-5)
Upazila Health Complex
2,904
1,673
1,231
379
4
0
4
0
Union Sub-Centres
0
0
0
0
0
0
0
0
Union Health and Family Welfare Centre (under DGHS)
0
0
0
0
0
0
0
0
Rural/Urban/Thana Dispensaries
0
0
0
0
0
0
0
0
Community Clinics
0
0
0
0
0
0
0
0
Trauma Centres
0
0
0
0
0
0
0
0
MCWCs
0
0
0
0
0
0
0
0
Chest Disease Clinics (TB clinics)
0
0
0
0
0
0
0
0
Private Clinics/Facilities
10,292
4,653
5,639
1,329
0
0
0
0
NGO Clinics/Facilities
0
0
0
0
0
0
0
0
Total
13,196
6,326
6,870
1,708
4
0
4
0
Shibchar Upazila Health Complex | Health Bulletin 2014 | Page# 6
Top 10 diseases according to the number of patients admitted in the UHC during the reporting period
Total number of admitted patients during the reporting period
3283
Serial No.
ICD-10 Code with Disease name
No. of cases
%
1
A090 Other and unspecified gastroenteritis and colitis of infectious origin
435
13.25
2
J110 Influenza with pneumonia, virus not identified
309
9.41
3
R456 Physical violence
1309
39.87
4
K27 Peptic ulcer, site unspecified
397
12.09
5
R509 Fever, unspecified
303
9.23
6
R100 Acute abdomen
119
3.62
7
V892 Person injured in unspecified motor-vehicle accident, traffic
257
7.83
8
I219 Acute myocardial infarction, unspecified
127
3.87
9
J46 Status asthmaticus
89
2.71
10
X48 Accidental poisoning by and exposure to pesticides
48
1.46
Shibchar Upazila Health Complex | Health Bulletin 2014 | Page# 7
Top 10 diseases according to the number of deaths among admitted patients in the UHC during the reporting period
Total number of Deaths during the reporting period
4
Serial No.
ICD-10 Code with Disease name
No. of cases
%
1
R100 Acute abdomen
1
25.00
2
I219 Acute myocardial infarction, unspecified
1
25.00
3
J46 Status asthmaticus
1
25.00
4
R509 Fever, unspecified
1
25.00
5
0 Code either does not match or written incorrectly. Correct Example: A09.0 or A09 without space or hiphen or camma
0
0.00
6
0 Code either does not match or written incorrectly. Correct Example: A09.0 or A09 without space or hiphen or camma
0
0.00
7
0 Code either does not match or written incorrectly. Correct Example: A09.0 or A09 without space or hiphen or camma
0
0.00
8
0 Code either does not match or written incorrectly. Correct Example: A09.0 or A09 without space or hiphen or camma
0
0.00
9
0 Code either does not match or written incorrectly. Correct Example: A09.0 or A09 without space or hiphen or camma
0
0.00
10
0 Code either does not match or written incorrectly. Correct Example: A09.0 or A09 without space or hiphen or camma
0
0.00
Shibchar Upazila Health Complex | Health Bulletin 2014 | Page# 8
Water & sanitation
Indicators
Upazila %
Coverage of households having access to safe drinking water (%)
95.00
Coverage of households having access to sanitary latrines (%)
92.00
Utilization of services at Upazila Health Complex
Indicators
Upazila
Total Patient days in Upazila Health Complex in 365 days (No.)
1,096
Bed Occupancy Rates (%)
72.00
Average Length of Hospital Stay (No. of days per patient)
3.22
Hospital Death Rate (%)
0.94
Shibchar Upazila Health Complex | Health Bulletin 2014 | Page# 9
Surgeries & Interventions done in the Upazila Hospital
Type
No.
Major Surgeries
131
Minor Surgeries
387
Shibchar Upazila Health Complex | Health Bulletin 2014 | Page# 10
Status of Human Resources (Class wise)
Class
Sanctioned
Filled-up
Vacant
Vacancy %
M
F
UHC
Class I
Doctor
21
15
4
2
9.52
Non Doctor
0
0
0
0
0.00
Class II
15
3
12
0
0.00
Class III
190
93
51
46
24.21
Class IV
22
12
6
4
18.18
Union Health & Family Welfare Center (under DGHS)
Class I
Doctor
15
8
4
3
20.00
Non Doctor
0
0
0
0
0.00
Class II
0
0
0
0
0.00
Class III
15
3
1
11
73.33
Class IV
0
0
0
0
0.00
Rural Dispensaries
Class I
Doctor
3
1
0
2
66.67
Non Doctor
0
0
0
0
0.00
Class II
0
0
0
0
0.00
Class III
6
2
0
4
66.67
Class IV
3
1
0
2
66.67
Community Clinics
Class I
Doctor
0
0
0
0
0.00
Non Doctor
0
0
0
0
0.00
Class II
0
0
0
0
0.00
Class III
39
19
20
0
0.00
Class IV
0
0
0
0
0.00
Shibchar Upazila Health Complex | Health Bulletin 2014 | Page# 11
Status of Human Resources (Class wise)
Class
Sanctioned (No.)
Filled-up (No.)
Vacant (No.)
Vacancy %
M
F
Upazila Total
Class I
Doctor
39
24
8
7
17.95
Non Doctor
0
0
0
0
0.00
Class II
15
3
12
0
0.00
Class III
190
93
51
46
24.21
Class IV
22
12
6
4
18.18
Other Hospitals & Clinics
Class I
Doctor
0
0
0
0
0.00
Non Doctor
0
0
0
0
0.00
Class II
0
0
0
0
0.00
Class III
0
0
0
0
0.00
Class IV
0
0
0
0
0.00
Shibchar Upazila Health Complex | Health Bulletin 2014 | Page# 12
Status of Human Resources (No.) (Category wise)
Manpower
Community Clinic
USC/UHFWC/RD
UHC
Others
IMCI trained
Basic EOC trained
Sanctioned
Filled-up
Sanctioned
Filled-up
Sanctioned
Filled-up
Sanctioned
Filled-up
Physician
0
0
18
12
21
19
0
0
0
0
Nurse
0
0
0
0
15
15
0
0
2
2
Medical Assistant
0
0
18
7
2
2
0
0
5
0
Medical Technologist
0
0
18
3
10
6
0
0
0
0
CHCP
39
35
0
0
0
0
0
0
0
0
HI
0
0
0
0
6
6
0
0
0
0
AHI
0
0
0
0
16
16
0
0
0
0
HA
0
0
0
0
80
58
0
0
0
0
CSBA trained***
0
0
0
0
0
0
0
0
0
13
Shibchar Upazila Health Complex | Health Bulletin 2014 | Page# 13
Existing equipments at UHC
Equipment
Total (No.)
Functional (No.)
Non-functional
Not Installed (No.)
Repairable (No.)
Non-repairable (No.)
Radiology equipment
X-ray machine (100 mA)
0
0
0
0
0
X-ray machine (300 mA)
1
0
1
0
0
X-ray machine (500 mA)
1
0
1
0
0
X-ray machine (digital)
0
0
0
0
0
X-ray machine (portable)
0
0
0
0
0
Dental X-ray unit
0
0
0
0
0
Spiral CT Scan
0
0
0
0
0
C-arm
0
0
0
0
0
Mamogram machine
0
0
0
0
0
Dehumidifier
0
0
0
0
0
MRI machine
0
0
0
0
0
Ultrasonogram machine
0
0
0
0
0
Anesthesiology/surgical equipment
Anesthesia machine with ventilator
1
1
0
0
0
Anesthesia machine without ventilator
0
0
0
0
0
Autoclave
1
1
0
0
0
Electric cautery machine
1
1
0
0
0
Diathermy machine
1
1
0
0
0
Operating microscope
0
0
0
0
0
Ceiling mounting OT Light
0
0
0
0
0
Portable OT Light
0
0
0
0
0
Fracture table
0
0
0
0
0
Hydrolic OT Table
2
2
0
0
0
Sterilizer
1
1
0
0
0
Sucker machine (electric)
1
1
0
0
0
Ventilator
0
0
0
0
0
Shibchar Upazila Health Complex | Health Bulletin 2014 | Page# 14
Existing equipments at UHC
Equipment
Total (No.)
Functional (No.)
Non-functional
Not Installed (No.)
Repairable (No.)
Non-repairable (No.)
Cardiology equipment
Coronary angiogram machine
0
0
0
0
0
Debrililator
0
0
0
0
0
ECG machine
0
0
0
0
0
Ecocardiogram machine
0
0
0
0
0
Cardiac monitor
0
0
0
0
0
Holter monitor
0
0
0
0
0
Nebulizer machine
2
2
0
0
0
Pulse oximeter
0
0
0
0
0
Dental equipment
Dental unit
1
1
0
0
0
Gastroeneterology equipment
Endoscopy machine
0
0
0
0
0
Laparoscopic machine
0
0
0
0
0
Shibchar Upazila Health Complex | Health Bulletin 2014 | Page# 15
Existing equipments at UHC
Equipment
Total (No.)
Functional (No.)
Non-functional
Not Installed (No.)
Repairable (No.)
Non-repairable (No.)
Lab equipment
Biochemical auto-analyzer
0
0
0
0
0
Centrifuge machine (electric)
3
1
1
1
0
Colorimeter
1
0
1
0
0
Electrolyte analyzer
0
0
0
0
0
ELISA machine
0
0
0
0
0
Gas analyzer
0
0
0
0
0
Hormone analyzer
0
0
0
0
0
Blood cell counter
0
0
0
0
0
Microscope (binocular)
2
1
1
0
0
Obstetric equipment
Fetal Monitor
0
0
0
0
0
Ophthalmic equipment
FACO machine
0
0
0
0
0
Retinoscope
0
0
0
0
0
Pediatric equipment
Baby incubator
1
1
0
0
0
Phototherapy unit
1
1
0
0
0
Shibchar Upazila Health Complex | Health Bulletin 2014 | Page# 16
Existing equipments at UHC
Equipment
Total (No.)
Functional (No.)
Non-functional
Not Installed (No.)
Repairable (No.)
Non-repairable (No.)
Blood bank equipment
Blood bank centrifuge
0
0
0
0
0
Laminar flow hood
0
0
0
0
0
pH meter
0
0
0
0
0
Hemoglobin photometer
2
2
0
0
0
Blood bank refrigerator
1
0
1
0
0
Blood plasma seperating machine
0
0
0
0
0
Platelet seperating machine
0
0
0
0
0
Deep freeze (plasma)
0
0
0
0
0
Deep freeze (RBC)
0
0
0
0
0
Refrigerator
0
0
0
0
0
Psichiatry equipment
ECT machine
0
0
0
0
0
EEG machine
0
0
0
0
0
Urology equipment
Cystoscopic machine
0
0
0
0
0
Vehicles
Ambulance
2
1
0
1
0
Bus
0
0
0
0
0
Jeep
0
0
0
0
0
Microbus
0
0
0
0
0
Pickup
0
0
0
0
0
Shibchar Upazila Health Complex | Health Bulletin 2014 | Page# 17
Existing equipments at UHC
Equipment
Total (No.)
Functional (No.)
Non-functional
Not Installed (No.)
Repairable (No.)
Non-repairable (No.)
Air conditioner
Air conditioner (split type)
0
0
0
0
0
Air conditioner (window)
3
2
1
0
0
Generator
Generator (diesel/petrol)
1
1
0
0
0
Generator (gas)
0
0
0
0
0
Solar panel
0
0
0
0
0
IPS
0
0
0
0
0
ICT equipment
Computer (desktop)
7
6
1
0
0
Laptop
2
2
0
0
0
Printer (dot matrix)
0
0
0
0
0
Printer (inkjet)
2
2
0
0
0
Printer (laser)
1
0
1
0
0
Scanner
1
1
0
0
0
UPS
0
0
0
0
0
Fax
0
0
0
0
0
Intercom
0
0
0
0
0
Internet fixed line
0
0
0
0
0
Internet wireless line
1
1
0
0
0
Multimedia
1
1
0
0
0
Shibchar Upazila Health Complex | Health Bulletin 2014 | Page# 18
Existing equipments at UHC
Equipment
Total (No.)
Functional (No.)
Non-functional
Not Installed (No.)
Repairable (No.)
Non-repairable (No.)
OHP
PA system (Sound)
0
0
0
0
0
Land phone
1
1
0
0
0
Mobile phone
1
1
0
0
0
Photocopier machine
0
0
0
0
0
Digital camera
0
0
0
0
0
Video camera
0
0
0
0
0
Total
47
36
9
2
0
Shibchar Upazila Health Complex | Health Bulletin 2014 | Page# 19
Important information and necessary issues for Shibchar Upazila Health Complex |
Last year we could not give our maximum efforts improve the health status of Shibchar upazilla due to many reasons. Here I would like to mention some important factors which will help us to achieve good results in future. 1. The vacant post should be filled immediately. 2. Our doctors need more training on IMCI & EOC 3. Our need an ultra sound machine , ECG machine and a new X-Ray machine for better health services. 4. also Instruments and furniture are not sufficient in Community clinics which should be increased. Finally I am very happy to write this e-health bulletin of 2013 because this documents will help us to compair our progress in upcoming years. This is very useful document and will help the public to understand health services and to provide us the useful advice for improvement in future.
